Individual
CYNTHIA JANE HOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.A.S.
Contact information
Practice address
161 E LEXINGTON RD STE B, MOCKSVILLE, NC 27028-2635
(336) 608-2591
(336) 753-6855
Mailing address
161 E LEXINGTON RD STE B, MOCKSVILLE, NC 27028-2635
(336) 608-2591
(336) 753-6855
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
49
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6110513
—
NC
Enumeration date
12/14/2006
Last updated
09/29/2008
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